DeKalb County D.U.I. Court Supervised Treatment Program

Medication Guide 2012

DeKalb County State Court Decatur, Georgia

**********

WELCOME TO THE DEKALB COUNTY D.U.I. COURT SUPERVISED TREATMENT PROGRAM.

This 2012 Medication Guide was developed as a collaborative effort by

Becky Pirouz, Pharm.D., Director of Pharmacy, Peachford Hospital, and by

Lois Michalove, Treatment Coordinator for the DeKalb County D.U.I. Court

Supervised Treatment Program, both of whom have extensive experience in

addiction recovery and treatment.

**********

The following information is intended to assist you in making decisions about medications. This may include those medications that you are prescribed and/or your selection of over-the-counter (OTC) products. Unintended exposure may compromise your treatment program. This is not an exhaustive list, but contains some of the medications that are most commonly used. If in doubt, always consult the Treatment Coordinator. Please inform your physician, dentist, pharmacist and other health care professionals that you are in a recovery program.

WE ARE A ZERO-TOLERANCE PROGRAM!

DO NOT COMPROMISE YOUR RECOVERY BY MAKING HIGH-RISK CHOICES!

Table of Contents

Section 1 – Drugs to Avoid

Alcohol & Alcohol Containing Products ............................................................................. 1

Cough & Cold Preparations ................................................................................................... 1

Drugs for Pain:

Opiates / Opiate Like ................................................................................................... 2

Miscellaneous / Muscle Relaxants / Other .............................................................. 2

Sleep Aids & Tranquilizers:

Benzodiazepines ........................................................................................................ 2-3

Barbiturates .................................................................................................................. 3

Miscellaneous ................................................................................................................ 3

Stimulants:

Amphetamine & Non-Amphetamine ........................................................................ 4

Hallucinogens ........................................................................................................................... 4

Inhalants ................................................................................................................................. 4-5

Personal Hygiene ..................................................................................................................... 5

Other Substances to Avoid .................................................................................................... 5

i

Table of Contents

Section 2 - Safe Medications

Addiction Treatments ............................................................................................................. 8

ADHD / ADD .............................................................................................................................. 8

Alzheimers / Dementia ............................................................................................................ 8

Antibiotics / Antivirals / Drugs for Infections:

Oral .................................................................................................................................. 8

Topical ............................................................................................................................ 9

Antihistamines / Allergies:

Non-Sedating ................................................................................................................. 9

Sedating .......................................................................................................................... 9

Asthma / Allergies / COPD / Pulmonary Disorders .................................................... 9-10

BPH / Prostate ........................................................................................................................ 10

Cardiovascular ....................................................................................................................... 10

Cough / Colds / Nasal Congestion / Chest Congestion:

Cough & Expectorant Preparations ...................................................................... 11

Decongestants ............................................................................................................. 11

Nasal Gels & Sprays - OTC ....................................................................................... 11

Prescription ................................................................................................................. 11

Diabetes / Blood Sugar .......................................................................................................... 12

Erectile Dysfunction ............................................................................................................. 12

Eye Disorders / Dry Eye / Glaucoma .................................................................................. 12

Gastrointestinal Products:

Antacids / Gerd - OTC ................................................................................................ 13

Antacids / Gerd - Prescription ................................................................................. 13

Constipation ................................................................................................................ 13

Diarrhea / Gas ............................................................................................................. 13

IBS / Colitis / Chrohn’s .............................................................................................. 14

ii

Table of Contents

Section 2 - Safe Medications

(Continued)

Gastrointestinal Products – cont’d:

Nausea - OTC ............................................................................................................... 14

Nausea - Prescription ................................................................................................ 14

Stomach Cramps ......................................................................................................... 14

Gout ........................................................................................................................................... 14

Gynecologic / Hormones / Birth Control ........................................................................... 15

Hemorrhoids ........................................................................................................................... 15

HIV / AIDS Treatment ........................................................................................................... 16

Household Cleaning Products ............................................................................................ 16

Incontinence / Overactive Bladder / Cystitis ................................................................... 16

Mental & Emotional Disorders / Mood Stabilization / Depression /

Bipolar / Schizophrenia / Seizures ......................................................................... 17

Migraine / Headaches ............................................................................................................ 17

Pain Relief ............................................................................................................................... 18

Parkinsons Disease ................................................................................................................ 18

Personal Hygiene Products ................................................................................................. 18

PTSD / Nightmares / Flashbacks ........................................................................................ 19

Sleep Aids ................................................................................................................................. 19

Thyroid Replacement & Anti-Thyroid .............................................................................. 19

Vitamins / Herbals .................................................................................................................. 20

Weight Loss / Appetite Control ........................................................................................... 20

iii

- Section 1 – Drugs To Avoid

The following drugs must not be used at any time. They are well known to be

abused and even small amounts may result in relapse and are contraindicated in your treatment program. However, extenuating circumstances may occur which necessitates the short-term limited use of some of the drugs on this list in consultation with your physician, the Judge and the Treatment Coordinator. This decision should be made prior to your ingestion of any of the Drugs to Avoid. ALCOHOL & ALCOHOL CONTAINING PRODUCTS: Ales Beers (including Non-Alcoholic forms) Liqueurs Malt Beverages Whiskey Wine (including Non-Alcoholic forms) Wine Cooler

Note that many liquid cough / cold preparations, vitamin preparations and other liquid OTC and

prescription medications may contain alcohol – use the tablet forms. Additionally, some topical products, soft-gels and capsules may contain alcohol and should be avoided.

COUGH & COLD PREPARATIONS:

The below list contains some common products, but it is not an exhaustive list.

Hydrocodone Combo Products:

o Duratuss o Hycodan Tabs o Hycodan Syrup o Hycomine o Hycotuss o Hydromet o Tussionex o VicoTuss

Codeine Combo Products:

o Ambenyl o Guiatuss o Mytussin Nucofed o Phenergan w/Codeine o Robitussin AC

Dextromethorphan:

o Contac o Comtrex o Delsym o Mucinex DM o Nyquil o Robitussin DM o Vicks Formula 44D

Any preparations containing narcotics (such as Codeine, Hydrocodone and/or Dextromethorphan) should not be used. Additionally, any liquid preparation may contain alcohol. READ LABELS and ASK YOUR PHARMACIST!

1.

DRUGS FOR PAIN: Opiates / Opiate Like:

o Buprenorphine (Subutex, Buprenex) o Buprenorphine / Naloxone (Suboxone) o Butorphanol (Stadol) o Codeine (Tylenol w/Codeine, Fiorinal w/Codeine, ASA w/Codeine) o Fentanyl (Duragesic Patch, Innovar Injection, Actiq Lozenge, Fentanyl

Nasal Spray, Sublimaze) o Hydrocodone & Combinations (Lorcet, Lortab, Norco, Tussionex, Synalgos,

Synalgos DC, Hycodan Syrup) o Hydromorphone (Dilaudid) o Heroin (Smack, Junk, Horse) o Levorphanol (Levo-Dromoran is injection only.) o Meperidine (Demerol, Mepergan Fortis) o Methadone (Dolophine) o Morphine (MS Contin, Kadian, Roxanol, various) o Nalbuphine (Nubain) o Oxycodone & Combinations (Oxycontin, Percocet, Roxicodone,

Oxy IR, Percodan, Tylox, Roxicet) o Paregoric o Pentazocine & Combinations (Talwin, Talacen) o Tincture of Opium

Miscellaneous / Muscle Relaxants / Other:

o Carisoprodol (Soma, Soma Compound) o Chlorzoxazone (Parafon Forte) o Cyclobenzaprine (Flexeril) o Diphenoxylate / Atropine (Lomotil) o Methocarbamol (Robaxin, Robaxisal) o Orphenadrine (Norflex, Norgesic) o Pregabalin (Lyrica) o Tramadol (Ultram)

All propoxyphene and preparations (Darvon, Darvocet, Dolene) have been removed from United States

markets, but are still available in some foreign countries.

SLEEP AIDS & TRANQUILIZERS:

Benzodiazepines:

o Alprazolam (Xanax) o Clonazepam (Klonopin) – May be used for seizure disorders – must be

approved by the Treatment Coordinator. 2.

SLEEP AIDS & TRANQUILIZERS – cont’d:

o Clorazepate (Tranxene) o Diazepam (Valium)Estazolam (Prosom) ** o Flurazepam (Dalmane) o Halazepam (Paxipam) ** o Lorazepam (Ativan) o Midazolam (Versed) o Oxazepam (Serax) o Quazepam (Doral) o Temazepam (Restoril) o Triazolam (Halcion)

Barbiturates - Oral:

o Amobarbital / Secobarbital (Tuinal, AMAS Trees, Rainbows) o Butabarbital (Butisol) o Butalbital (One of the combination ingredients in Fiorinal, Fioricet,

Endolor, Cephadyn, Esgic, Esgic Plus, Donnatal and others.) o Mephobarbital (Mebaral) o Pentobarbital (Nembutal, Yellow Jackets, Cafatine – PB is combo drug) o Phenobarbital (Luminal, Blue Heavens, various trade names. Phenobarbital

is also contained in Donnatal.) Barbiturates – Injectable:

o Amobarbital (Amytal) o Methohexital (Brevital) o Pentobarbital (Nembutal) o Thiopental (Pentothal)

Miscellaneous:

o Chloral Hydrate (Noctec, Somnote) o Eszopiclone (Lunesta) o Meprobamate (Miltown, Equanil) o Zaleplon (Sonata) o Zolpidem (Ambien)

3.

** Estazolam (Prosom) and Halazepam (Paxipam) are marketed outside of the

United States.

STIMULANTS: Amphetamine:

o Benzphetamine (Didrex) o Dextroamphetamine (Dexedrine, Dexies, Hearts) o Lisdexamfetamine (Vyvanse) o Methamphetamine (Desoxyn) o Mixed Amphetamine Salts (Adderall, Adderall XR)

Non-Amphetamine:

o Cocaine o Diethylpropion (Tenuate) o Fenfluramine (Pondimin) - - No longer available in the United States. o Methylphenidate (Ritalin, Methylin, Metadate) o Methylphenidate ER (Concerta, Metadate, Ritalin SR, Daytrana, Methylin SR) o Phendimetrazine (Melfiat, Phenazine, Prelu-2, Bontril) o Phenmetrazine (Preludin) - - Not available in the United States. o Phentermine (Ionamin, Fastin, Adipex)

HALLUCINOGENS: 5-MeO-DIPT (Foxy Methoxy) Bath Salts Cannabis (Grass, Marijuana, Pot, Weed) DMT (Dimethyltryptamine) Ketamine (Special K) LSD (Acid, Blotter, Window Pane, Paper, Sunshine) Marinol (Dronabinol) - May be used medicinally, but must be approved by Treatment Coordinator. MDMA (E, Eckies, Ecstasy, Love Drug) Mescaline (Peyote) PCP (Angel Dust, Phencyclidine) Psilocybin (Magic Mushroom, “Shrooms”) Spice STP (DOM)

INHALANTS: Acetone (Nail polish remover) Aerosols Airplane Glue Amyl Nitrate (Poppers) Butyl Nitrate

4.

INHALANTS – cont’d:

Gases (Ether, Chloroform, Nitrous Oxide, Butane, Propane, whipped cream dispensers)

Paint (Butane, Toluene, Propane) Solvent (Paint Thinner, Gasoline, Glue, Correction Fluid, Felt Tip Marker) Varnish (Xylene, Toluene)

PERSONAL HYGIENE: Hand Sanitizers (unless alcohol free)

Do not use any product with Ethyl Alcohol listed as an ingredient. READ LABELS!

OTHER SUBSTANCES TO AVOID: Bisques & Soupls with added liqueurs Cooking Wines / Marinades (Marsala, Sherry, Wine Vinegar, some BBQ Sauces) Crème de Cacao Crème de Menthe (Grasshopper pie) Energy Drinks Extracts (Vanilla & other flavorings) Flambeed Meat or Dessert Grand Marnier (In mousses and other desserts) Kahlua Performance Enhancement Herbal Products Poppyseeds (Bagels, cakes)

Even after cooking, foods may retain varying amounts of alcohol. Check all ingredients and ask before ingesting.

5.

6.

- Section 2 - Safe Medications

In Addiction Recovery The drugs in this section are generally considered safe to take when in addiction recovery programs. However, use of any medications, including those prescribed by a physician as well as over-the-counter (OTC) drugs, can result in untoward effects. Some of the drugs on this list may result in a false positive urine drug screen. If in doubt, check with your Treatment Coordinator. Always inform your Treatment Coordinator if you are taking any drugs on this list. It is a reality of addiction that it is easy to change from one “favorite” substance to another substance. Treatment program goals will help you be more aware of your tendency to want to manipulate your mood. If the necessity of utilization of medications occurs, you must be vigilant in informing your physician that you are recovering and keeping your Treatment Coordinator aware of your medications. This list is intended to assist you in selecting medications that will not negatively impact your treatment and recovery.

Do not use any medication, vitamin, herbal or topical liquid / lotion that has alcohol as an ingredient, or states that the medication may be habit-forming.

7.

ADDICTION TREATMENTS: Acamprosate (Campral) Bupropion (Zyban) Clonidine (Catapres) Disulfiram (Antabuse) Naltrexone (Revia) Naltrexone (Vivitrol) Varenicline (Chantix)

ADHD / ADD: Atomoxetine (Strattera) Clonidine (Catapres)

ALZHEIMERS / DEMENTIA: Donepezil (Aricept) Galantamine (Razadyne) Memantine (Namenda) Rivastigmine (Exelon)

ANTIBIOTICS / ANTIVIRALS / DRUGS FOR INFECTIONS - Oral: Acyclovir (Zovirax) Amoxicillin (Amoxil) Amoxicillin / Clavulanate (Augmentin) Azithromycin (Zithromax) Cefaclor (Ceclor) Cefadroxil (Duricef) Cefdinir (Omnicef) Cefpodoxime (Vantin) Cefprozil (Cefzil) Cefuroxime (Ceftin) Cephalexin (Keflex) Ciprofloxacin (Cipro) Clarithromycin (Biaxin) Clindamycin (Cleocin) Doxycycline (Doryx) Doxycycline (Vibramycin)

Erythromycin (E-Mycin) Fluconazole (Diflucan) Gatifloxacin (Tequin) Itraconazole (Sporanox) Levofloxacin (Levaquin) Loracarbef (Lorabid) Metronidazole (Flagyl) Minocycline (Minocin) Moxifloxacin (Avelox) Nitrofurantoin (Macrodantin, Macrobid) Oseltamavir (Tamiflu) Penicillin (Pen VK) Sulfamethoxazole/Trimethoprim (Bactrim, Septra) Tetracycline (Sumycin) Valacyclovir (Valtrex)

8.

ANTIBIOTIC / ANTIVIRAL / ANTIFUNGAL DRUGS - Topical: Acyclovir (Zovirax) Bacitracin/Polymyxin (Polysporin) Bacitracin/Polymyxcin/Neomycin (Neosporin) Clotrimazole (Lotrimin) Docosanol (Abreva) Mycostatin (Monistat) Penciclovir (Denavir) Terbinafine (Lamisil) Tolnaftate (Tinactin)

ANTIHISTAMINES / ALLERGIES: Allergies (Non-Sedating Antihistamines):

o Cetirizine (Zyrtec) o Desloratadine (Clarinex) o Fexofenadine (Allegra) o Loratadine (Claritin, Alavert)

Allergies (Sedating Antihistamines):

o Brompheniramine (Dimetane) ** o Chlorpheniramine (Chlor-Trimeton) ** o Clemastine (Tavist) ** o Diphenhydramine (Benadryl) ** o Hydroxyzine (Atarax, Vistaril) **

ASTHMA / ALLERGIES / COPD / PULMONARY DISORDERS: Inhalers:

o Albuterol (Pro-Air, Ventolin) o Albuterol/Ipratropium (Combivent) o Beclomethasone (QVAR) o Budesonide (Pulmicort) o Fluticasone (Flovent) o Fluticasone / Salmeterol Advair) o Formoterol (Foradil)

o Ipratropium (Atrovent) o Levalbuterol (Xopenex) o Mometasone (Asmanex) o Salmeterol (Serevent) o Theophylline o Tiotropium (Spiriva) o Triamcinolone (Azmacort)

9.

** These products on the left should only be used with Treatment Coordinator approval as they may cause sedation and

may negatively impact your recovery.

ASTHMA / ALLERGIES / COPD / PULMONARY DISORDERS – cont’d: Oral:

o Montelukast (Singulair) o Zafirkulast (Accolate)

BPH / PROSTATE: Alfuzosin (Uroxatral) Doxazosin (Cardura) Dutasteride (Avodart) Finasteride (Proscar) Silodosin (Rapaflo) Tamsulosin (Flomax) Terazosin (Hytrin)

CARDIOVASCULAR:

(Blood Pressure / Anticoagulants / Anti-Platelet / Colesterol Lowering / Diuretics) Amlodipine (Norvasc) Amlodipine/Benazepril (Lotrel) Aspirin Atenolol (Tenormin) Atorvastatin (Lipitor) Benazepril (Lotensin) Bumetadine (Bumex) Captopril (Capoten) Candesartan (Atacand) Carvedilol (Coreg) Cholestyramine (Questran) Clopidogrel (Plavix) Dalteparin (Fragmin) Digoxin (Lanoxin) Diltiazem (Cardizem,Cardizem CD) Enalapril (Vasotec) Enoxaparin (Lovenox) Ezetimibe (Zetia) Ezetimibe/Simvastatin (Vytorin) Fenofibrate (Tricor) Fosinopril (Monopril) Furosemide (Lasix) Gemfibrozil (Lopid) Heparin Hydrochlorothiazide (Hydrodiuril)

HydrochlorothiazideTriamterene (Maxzide, Dyazide)

Irbesartan (Avapro) Irbesartan/HCTZ (Avalide) Isosorbide (Imdur, Isordil) Lisinopril (Zestril, Prinivil) Losartan (Cozaar) Losartan/HCTZ (Hyzaar) Metoprolol (Lopressor) Niacin (Niaspan) Nisoldipine (Sular) Nitroglycerin Olmesartan (Benicar) Pravastatin (Pravachol) Propranolol (Inderal) Quinapril (Accupril) Ramipril (Altace) Rosuvastatin (Crestor) Simvastatin (Zocor) Sotalol (Betapace) Spironolactone (Aldactone) Torsemide (Demadex) Valsartan (Diovan) Verapamil (Calan, Calan SR) Warfarin (Coumadin)

10.

COUGH / COLDS / NASAL CONGESTION / CHEST CONGESTION: (See also Drugs for Allergies)

Cough & Expectorant Preparations:

o Benzonatate (Tessalon Perles) o Cepacol Lozenges o Chloraseptic Lozenges o Guaifenesin (Humibid LA, Mucinex, Robitussin) o Halls Cough Drops o Ludens Cough Drops

Avoid liquid preparations which may contain alcohol.

Decongestants:

o Combination products with Pseudoephedrine (Actifed, Cardec, Clartin D, Deconamine, Dimetapp, Entex PSE, Mucinex D, Novafed, Sudafed, Zyrtec D)

o Combination products with Phenylephrine (Entex LA, Nalex, Rondec, Rynatan, Sudafed Non-Drowsy, Tussafed)

Decongestants should be used only with Treatment Coordinator approval because they are stimulating and can negatively impact your recovery.

Nasal Gels & Sprays - OTC:

o Cromolyn (NasalCrom) o Desoxyephedrine (Vicks Nasal Inhaler) o Oxymetazoline (Afrin, Dristan) ** o Phenylephrine (Vicks Sinex, 4 Way Nasal Spray, NeoSynephrine) ** o Saline (Ocean, Seasoft, Ayr) o Zicam Nasal Gel

Prescription:

o Azelastine (Astelin) o Budesonine (Rhinocort) o Fluticasone (Flonase) o Ipratropium (Atrovent) o Mometasone (Nasonex) o Triamcinolone (Nasacort)

11.

** Note the warning on

OTC products to

use for maximum of

3 days **.

DIABETES / BLOOD SUGAR: Acarbose (Precose) Chlorpropamide (Diabenese) Exenatide (Byetta) Insulins (Apidra, Humalog, Humulin, Lantus, Levemir, Novolog, Novolin, NPH, Regular) Glimepiride (Amaryl) Glipizide (Glucotrol) Glyburide (Diabeta, Micronase) Linagliptin (Tradjenta) Linagliptin/Metformin (Jentadueto) Miglitol (Glyset) Nateglinide (Starlix) Pioglitazone (Actos) Repaglinide (Prandin) Rosiglitazone (Avandia) Sitagliptin (Januvia)

ERECTILE DYSFUNCTION: Sildenafil (Viagra, Adcirca) Tadalafil (Cialis) Vardanafil (Levitra, Staxyn)

EYE DISORDERS / DRY EYE / GLAUCOMA: Betaxalol (Betoptic) Bimatoprost (Lumigan) Brimonidine (Alphagan P) Brinzolamide (Azopt) Carboxymethylcellulose (Tears, Natural Tears, Systane) Cyclosporine (Restasis) Dorzolamide (Trusopt) Dorzolamide / Timolol (Cosopt) Latanoprost (Xalatan) Metipranolol (Optipranolol) Tetrahydrozoline (Visine, Clear Eyes) Timolol (Timoptic)

12.

When in doubt, ask your

Treatment Coordinator!

GASTROINTESTINAL PRODUCTS: Antacids / Gerd - OTC:

o Aluminum / Magnesium / Calcium & Combo Products (Alamag, Basaljel,

Gaviscon, Maalox, Mag-Al, Mylanta, Riopan, Rolaids, Rulox, Tums, various generic products)

o Famotidine (Pepcid) o Ranitidine (Zantac) o Omeprazole (Prilosec) o Omeprazole / Na Bicarb (Zegerid)

Antacids / Gerd - Prescription:

o Deslansoprazole (Dexilant) o Esomeprazole (Nexium) o Metoclopramide (Reglan) o Pantoprazole (Protonix) o Rabeprazole (Aciphex)

Constipation:

o Bisacodyl (Dulcolax – tablet / suppositories) o Docusate (Colace) o Fiber products (Benefiber, Fibercon) o Glycerin Suppositories o Magnesium Citrate o Milk of Magnesia o Mineral Oil o Polyethylene Glycol (Miralax) o Psyllium (Metamucil, Benefiber) o Senna (Senokot) o Senna / Docusate (Peri-Colace)

Diarrhea / Gas:

o Bismuth Subsalicylate (Pepto-Bismol, Kaopectate) o Loperamide (Imodium) o Simethicone (Mylicon)

13.

GASTROINTESTINAL PRODUCTS – cont’d: IBS / Colitis / Chrohn’s:

o Alosetron (Lotronex) o Anticholinergic / Antispasmodics – (May be used for diarrhea like Levsin,

Bentyl, Anaspaz) o Lubiprostone (Amitiza) o Mesalamine (Asacol, Lialda, Pentasa, Rowasa)

Do not use Donnatal as it contains Phenobarbital and will show positive in a urine drug screen.

Nausea - OTC:

o Bismuth Subsalicylate (Pepto-Bismol, Kaopectate) o Dimenhydrinate (Dramamaine) ** o Meclizine (Bonine, Antivert) ** o Phosphorylated Carbohydrate (Emetrol)

Nausea - Prescription:

o Metoclopramide (Reglan) o Ondansetron (Zofran) o Scopolamine (Transderm Scop)

Any other prescription drugs for nausea must be approved by the Treatment Coordinator prior to ingestion of medication.

Stomach Cramps:

o Dicyclomine (Bentyl) o Hyoscyamine (Levsin)

GOUT: Allopurinol (Zyloprim) Colchicine (Various) Febuxostat (Uloric)

14.

** May cause dizziness and/or drowsiness – use other products first. **

Vaginal and topical gels and spermicides may have alcohol in

them. READ LABELS!

GYNECOLOGIC / HORMONES / BIRTH CONTROL: Estrogens – Oral, Topical and Vaginal:

o Premarin o Menest o Estrace o Vagifem o Femring o Estring o Enjuvia o DepoProvera

Estrogen / Progestin Combos:

o PremPro (various)

Estrogen / Receptor Modulator: o Evista

Estrogen / Testosterone Combos: o Estratest (various)

Oral Birth Control Pills

Progesterone (Prometrium)

Spermicides

HEMORRHOIDS: Rectal Creams / Suppositories / Foams:

o Shark Liver Oil, Phenylephrine, Petrolatum (Preparation H) o Hydrocortisone (Anusol, Anusol HC, Preparation HC, Proctofoam) o Pramoxine and Pramoxine HC (Proctofoam, Proctofoam HC)

15.

HIV / AIDS TREATMENT: Abacavir (Ziagen) Abacavir + Lamivudine (Epzicom,

Kyvexa) Abacavir+Zidovudine+Lamivudine

(Trizivir) Amprenavir (Agenerase) Atazanavir (Reyataz) Chloroquine (Aralen) Darunavir (Prezista) Delavirdine (Rescriptor) Didanosine (Videx, Videx EC) Efavirenz (Sustiva) Efavirenz+Tenofovir+Emtricitabline

(Atripla) Emtrictabine (Emtriva) Enfuvirtide (Fuzeon) Etravirine (Intelence) Fosamprenavir (Lexiva) Hydroxychloroquine (Plaquenil) Hydroxyurea (Hydrea)

Indinavir (Crixivan) Lamivudine (Epivir) Lopinavir+Ritonavir (Kaletra) Nelfinavir (Viracept) Nevirapine (Viramune, Viramine XR) Raltegravir (Isentress) Rilpivirine (Edurant) Rilpivirine (Endurant) Rilpivirine+Tenofovir+Emtricitabine

(Complera, Eviplera) Ritonavir (Norvir) Saquinavir (Invirase) Stavudine (Zerit) Tenofovir (Vilread) Tenofovir+Emtricitabine (Truvada) Tipranavir (Aptivua) Zanamivir (Relenza) Zidovudine (Retrovir) Zidovudine+Lamivudine (Combivir)

HOUSEHOLD CLEANING PRODUCTS:

Be aware that many household cleaning products contain alcohol. Incidental exposure may result in a positive urine drug screen. Read labels and wear gloves.

INCONTINENCE / OVERACTIVE BLADDER / CYSTITIS: Darifenacin (Enablex) Fesoterodine (Toviaz) Oxybutynin (Ditropan, Ditropan XL) Solifenacin (Vesicare) Tolterodine (Detrol, Detrol LA) Phenazopyridine (Pyridium)

16.

MENTAL & EMOTIONAL DISORDERS / MOOD STABILIZATION / DEPRESSION / BIPOLAR / SCHIZOPHRENIA / SEIZURES: Amitriptyline (Elavil) Aripiprazole (Abilify) Atomoxetine (Strattera) Bupropion (Wellbutrin) Buspirone (Buspar) Carbamazepine (Tegretol, Carbatrol) Chlorpromazine (Thorazine) Citalopram (Celexa) Clozapine (Clozaril) Divalproex (Depakote, Depakote ER) Doxepin (Sinequan) Duloxetine (Cymbalta) Escitalopram (Lexapro) Ethosuxamide (Zarontin) Fluoxetine (Prozac) Fluvoxamine (Luvox) Gabapentin (Neurontin) Haloperidol (Haldol) Lamotrigine (Lamictal) Levetiracetam (Keppra)

Lithium (Eskalith) Mirtazapine (Remeron) Nefazodone Nortriptyline (Pamelor) Olanzapine (Zyprexa) Oxcarbazepine (Trileptal) Paroxetine (Paxil) Perphenazine (Trilafon) Phenytoin (Dilantin) Quetiapine (Seroquel) Risperidone (Risperdal) Sertraline (Zoloft) Tiagabine (Gabitril) Zonisamide (Zonegran) Topiramate (Topamax) Trazodone (Desyrel) Valproic Acid (Depakene) Venlafaxine (Effexor/Effexor XR) Vilazodone (Viibryd) Ziprasidone (Geodon)

MIGRAINE / HEADACHES: Almotriptan (Axert) Amiptriptyline (Elavil) Eletriptan (Relpax) Frovatriptan (Frova) Naproxen / Sumatriptan (Trexima) Naratriptan (Amerge) Rizatriptan (Maxalt) Sumatriptan (Imitrex) Topiramate (Topamax) Zolmitriptan (Zomig)

17.

Read package labels. Do NOT use any product listing ETHYL

ALCOHOL as an ingredient.

PAIN RELIEF: Oral:

o Acetaminophen (Tylenol) o Asprin (Various brands) o Celecoxib (Celebrex) o Diclofenac (Voltaren) o Disalcid (Salsalate) o Etodolac (Lodine) o Ibuprofen (Advil, Motrin) o Indomethacin (Indocin) o Ketoprofen (Orudis) o Ketorolac (Toradol) o Meloxicam (Mobic) o Nabumetone (Relafen) o Naproxen (Aleve, Anaprox, Naprosyn) o Oxaprozin (Daypro) o Piroxicam (Feldene) o Sulindac (Clinoril)

Topicals: o Aspercream o Ben-Gay o Epsom Salts o Icy Hot o Myoflex o Zostrix (Capsaicin)

Other: o Acupuncture o Chiropractic o Heating Pad o Ice o Massage Therapy o Stretching

PARKINSONS DISEASE: Carbidopa / Levodopa (Sinemet) Carbidopa / Levodopa / Entacapone (Stalevo) Entacapone (Comtan) Pramipexole (Mirapex) Ropinirole (Requip) - Also approved for Restless Leg Syndrome

PERSONAL HYGIENE PRODUCTS: ACT Anti-Cavity Fluoride Rinse (alcohol-free) Choice DM Cosmetics (alcohol-free only.) Crest Pro-Health Rinse Intensive Care Lotion (Aquaphor) Lotions / Creams (Eucerin, Lubriderm, Vaseline) Mouthwashes (alcohol-free only) Powders, Talcs Rembrandt Intense Stain Removal Solid Deodarants Solid Soaps or Liquid (alcohol-free) Tom’s of Maine Natural Cleansing Mouthwash Toothpastes (Colgate, Crest - none listing ethyl)

18.

PTSD / NIGHTMARES / FLASHBACKS: Prazosin (Minipres) Clonidine (Catapres)

See also some drugs listed under Mental & Emotional Disorders. SLEEP AIDS: Natural Remedies - (Meditation, Biofeedback, Chamomile Tea, Sleepy-Time Tea,

Warm Milk, Hot Bath) Melatonin Ramelteon (Rozerem) – Rx only

Some drugs listed under the Mental & Emotional section may be used for sleep, including Mirtazapine (Remeron), Quetiapine (Seroquel), and Trazodone (Desyrel).

THYROID REPLACEMENT & ANTI-THYROID: Levothyroxine (Synthroid, Levothroid, Levoxyl) Liothyronine (Cytomel) Methimazole (Tapazole) Propylthiouracil (PTU) Thyroid, dessicated (Armour Thyroid)

19.

VITAMINS / HERBALS: Alfalfa Aloe Vera Bee Pollen Black Pepper Calcium Cat’s Claw Echinacea EPA (Eicosapentaenoic Acid) Fish Oil Flaxseed Oil Folic Acid Ginger Glucosamine Chondroitin

Iron Lactobacillus MSM Multivitamin Combos (Not Liquid) Red Clover (Not in alcohol base.) Saw Palmetto Soy Isoflavones Vitamin B Vitamin B / C Complex Vitamin C Vitamin D Vitamin E

Herbal medications purchased from health food stores may contain substances that are a sedative or a stimulant and may negatively impact your recovery and/or cause positive drug screens. It is your responsibility to have herbal medications inspected and approved by the Treatment Coordinator.

Various generic brands are most cost effective. Examples of brand names are: Centrum, Centrum Silver, Flintstones, Gummy Vites, One-A-Day, and Prenatal-S. USE TABLETS ONLY, UNLESS LIQUID PREPARATIONS STATE THAT THEY ARE ALCOHOL FREE.

WEIGHT LOSS / APPETITE CONTROL:

SlimFast Shakes / Bars Meal Replacement Bars

20.

COMMUNITY RESOURCES: Hospitals $ DeKalb Medical Center 404-501-1000 $ Grady Memorial Hospital - Main # 404-616-1000 $ Emory University Hospital 404-712-2000 $ Veterans= Administration Medical Ctr. 404-321-6111 $ Summit Ridge (Inpatient Psych & Detox) 770-822-2200 Crisis Lines $ DeKalb County Comm. Crisis Center 404-892-4646 $ DeKalb Rape Crisis Center 404-377-1428 $ GA Domestic Violence Hotline 1-800-334-2836 $ GA Child Abuse Hotline 1-800-422-4453 Substance Abuse

$ Alcoholics Anonymous Georgia 404-525-3178

www.aaatlanta.org/meetings.php $ Cocaine Hotline 1-800-262-2463 $ Narcotics Anonymous Atlanta 404-708-3219 Other Resources $ DeKalb County Probation Office: 404-371-2822 $ DeKalb County Solicitor=s Office: 404-371-2200 $ Georgia Dept. of Labor DeKalb County 404-298-3970

3879 Covington Highway Decatur, GA 30032

$ Consumer Credit Counseling 404-527-7630 $ DeKalb County Family & Children Services 404-370-5000 $ DeKalb County Housing Authority:

Commerce Dr., Decatur 404-270-2500 $ Salvation Army:

Adult Rehabilitation Center 404-522-9785 $ United Way - Information & Referral 2 - 1 - 1

NOTES:

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